<%@ page language="java" contentType="text/html; charset=UTF-8"
    pageEncoding="UTF-8"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>现场勘察申请表单</title>
</head>
<body>
  <form> 
         <div fit="true">
	            <div region="center" border="false" style="height:230px;padding:10px;background:#fff;border:1px solid #ccc;">
			        <table style="width: 100%;text-align: right;" border="0">
							<tr>
							   <td>现场勘查项目名称: <input class="easyui-validatebox"  type="text"> </td>
							   <td>勘查地址：<input class="easyui-validatebox"  type="text"></td>
							</tr>
							
						    <tr>
						      <td>联系人：<input class="easyui-validatebox"   type="text"></td>
							  <td>联系人方式:  <input class="easyui-validatebox"  type="text"></td>
						    </tr>
						    
							<tr >
							   <td>施工类型：
							        <select class="easyui-combobox" name="state" style="width: 140px;"required="true">
									<option value="1">化粪池</option>
									<option value="2">管道</option>
									<option value="3">污水井</option>
									<option value="4">窖井</option>
									<option value="5">隔油池</option>
									<option value="6">拦渣池</option>
									<option value="7">明沟</option>
									</select>
								</td>
							</tr>
					</table>
				</div>
				
				 <div region="south" border="false" style="text-align:center;margin-top:50px;padding:5px 0;">
					<a class="easyui-linkbutton" iconCls="icon-ok" href="javascript:void(0)">保存</a>
					<a id="add_close" class="easyui-linkbutton" iconCls="icon-cancel" href="javascript:void(0)" >关闭</a>
			     </div>
        </div>
				
    </form> 
</body>
</html>